Meter Swap ` ' Request Number: 12475 .
Public works Division
Service Req�st
Problem Addresa: 7475 Melody Dr Requeated By: Jero�Wiss
Depattment: WA'IER Address: 7475 Melody Dr
Fridley,MN 55432
Problem/Issne: INSTALL AMR METER Phone Number: 763-784-0552
Sc6ednled Date: 2016-12-22 Sched�led 1lme: 09:00:00
� � ��t�
,
ACIION NEEDED:Install AMR
Created by: Beth Kondrick Date C4�eated: 2016-12-1 S
�
AGTION TAKEN: ;"�
�,���1�� cl -��2 ��
t�
:�u
,,.�.
�
. . . . . `::y:
4
�
Statns: �pro��s Submitter Ii�Beea �,
Co�uted
Date Compieted: �2�' 2�— �(n Com�eted by: �
w
.�__ � , /
,+�• dU "'� ��-�� _.
�
City of Fridley ��'� l t ��
Water Department •� �� �S� � �'
. 6431 University.Avenue NE ���
. Fridley, MN 55432
763-572-3566
�/we
�'�-�r��'�" �"��`� � hereby authorize the City af Fridiey and/or its empioyees to do what is necessary to
replace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and all iMerior
piumbing. (Per City code 402.06) I aiso hold the C'rty of Fridley a�d/its employees harmless fot any damages that may occur white doing tfiis
operation. This to include,but not limited to valves,piping,walis,flaors or the curb stop boz and service line. In understand I am also required
to obtain a permit prior to any work,if oecessary.
FINAL METER READING(old meter) " l —{�f.," �"
Name: —���V"'`� �C'�5 Address ��7 J �1�. W G�`y ��►"
Phone Number 7��7'� /�� '�J 5 d� Date �2' ! 2�� ' CZ
xSignature � Witness Signature T�'f�Q"��r
OLD METER# � l �U�lJ 1-� '
OLD READING "`� ���2'�
NEW METER# �� � � �� � �
NEW READING �
ERT# � ��� 9� I � �
FRiDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and arry house or I�ilding for vrhich the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shali pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmetrt sfial{be notified. tt sfia11 be uniawfuf to wver
any connecting li�e until an inspection has been made and such connection and the work inciderit thereto has been approved by the City as a
proper and suitable connection,
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the property line or a waRer service lead has
been extended to the property line for wnnection,the applicaM,owner,or occupant or user of such premises shell be liabie for all repafrs
required to anY water line and sewer lines�ecessary far connection of the premises fross�the main ta the premises. If the property owner
requests mai�rtenance service or repairs be performed by the City,the property owner shall be charged for the�of the maintenance and/or
repairs,including necessary street repairs at a rate set a�nually by a�administrative poliry. It shall be the respor►sibi!'�ty of the applica�t,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main inciuding debris dearing or
root cutting and to maiMain the water service curb stop box for ope�ability and at such height as will ensure that it reroains above tfie flnished
grade of the land or property. (Ref 638,1156,1191)